Online Prescription Refill Request for Dermatology Associates

To request a prescription refill online, please sign into our secure online portal here. Go to the "Forms" section.

If you have forgotten your login ID or password, please click here for assistance.

All areas of the refill form must be filled out completely. For more information on our privacy policy, click here.

IMPORTANT: Please note that it may be 24-48 hours before your prescription refill request is approved. Also, we require that our patients be seen once per year to be eligible for refills. Thank you for your understanding of this policy. If you need a refill immediately, or this is an emergency, please contact our office at (203) 792-4151.